Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
####
What position are you applying for?
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Lead Kitchen / Bath Installer
Lead Deck Installer
Kitchen / Bath Helper
Deck Helper
Customer Service Representative
How did you hear about this position?
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What days are you available to work?
Are you available to work overtime?
*
Do you have reliable transportation to and from work?
*
Salary / Starting Pay Desired
*
Have you applied to SM Miller Home Services before?
*
Do you have friends or relatives working for Miller Homes Services?
*
Are you 18 years of ago or older?
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Are you a U.S. citizen or approved to work in the United States?
*
Can you provide proof of U.S. citizenship?
*
Will you consent to a mandatory controlled substance test?
*
Do you have any condition that requires job accomodations?
*
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
*
Disclosure (Note: no applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including an significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Please list the skills and qualifications you posses for the position you are applying.
*
Disclosure (Note: S.M. Miller Home Services complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)
EDUCATION & TRAINING
High School - Name, Location, Year Graduated
College - Name, Location, Degree, Year Graduated
Vocational School - Name, Location, Degree, Year Graduated
Are you a member of the Armed Services?
*
If yes, please list branch, rank, years of service, and applicable skills for this position.
PREVIOUS EMPLOYMENT
Employer Name
*
Job Title
*
Supervisor Name
*
Employer Address (City, State, Zip)
*
Dates Employed
*
Reason for leaving?
*
Employer Name
*
Job Title
*
Supervisor Name
*
Employer Address (City, State, Zip)
*
Dates Employed
*
Reason for leaving?
*
Please provide (2) personal or professional references below.
Reference 1 (name and phone number)
Reference 2 (name and phone number)
Disclosure: (The relationship between you and the S.M. Miller Home Services is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or S.M. Miller Home Services. No representative of S.M. Miller Home Services has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at-will", and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our General Manager and/or Business Owner.)
Print Name (act as signature)
*
